NPIMap

Organization Active NPI

Van Buren Urgent Care Center PLLC

  • Urgent Care Clinic/Center
  • Van Buren TWP, MI
National Provider Identifier
1801124516
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
4301085918 Issued in MI
Legal business name
VAN BUREN URGENT CARE CENTER PLLC
Practice address
11650 Belleville Rd
Suite 101
Van Buren TWP, MI 48111
Phone
(734) 699-9888
Fax
(734) 293-1774
NPI assigned
Nov 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sameer Huraibi, M. D.NPI 1437219391
Title
Owner Medical Director Physician
Phone
(313) 515-0024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 4301085918 MI Primary

Addresses

Primary practice location

11650 Belleville Rd
Suite 101
Van Buren TWP, MI 48111

Mailing address

11650 Belleville Rd
Suite 101
Van Buren TWP, MI 48111
Phone (734) 699-9888

Other identifiers 2

IdentifierTypeStateIssuer
740H267640OtherMIBC TRAD UC NETWORK
740H267640OtherMIBCN GROUP

National Provider Directory

National Provider Directory
Tax ID family
Van Buren Urgent Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1801124516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 BELLEVILLE RD",
            "address_2": "SUITE 101",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "48111",
            "telephone_number": "734-699-9888",
            "fax_number": "734-293-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 BELLEVILLE RD",
            "address_2": "SUITE 101",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "48111",
            "telephone_number": "734-699-9888",
            "fax_number": "734-293-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN BUREN URGENT CARE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "HURAIBI",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_title_or_position": "OWNER MEDICAL DIRECTOR PHYSICIAN",
        "authorized_official_telephone_number": "313-515-0024",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "4301085918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC  TRAD UC NETWORK",
            "identifier": "740H267640",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN GROUP",
            "identifier": "740H267640",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.